OUR LEGAL DUTY
We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this notice while it is in effect. This notice takes effect April 27, 2012 and will remain in effect until we replace it.
We reserve the right to change to change our policy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make changes in our Notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change the Notice and make the new Notice Available upon request.
You may request a copy of our Notice at any time.
- Nevaeh Consulting, LLC, hereinafter Nevaeh Consulting, LLC is permitted to make use of and to disclose health care information for the purposes of treatment, payment and healthcare operations. The following are examples of use or disclosure for each of the listed purposes:
- Example of use or disclosure for the purpose of treatment: Private health information may be disclosed to gain knowledge about our diagnosis or prognosis to help us treat the client’s condition appropriately.
- Example of use or disclosure for purpose of payment Private health information may be disclosed so that we may collect payment from your insurance company or other healthcare coverage.
- Example of use or disclosure for the purpose of health care operations: Nevaeh Consulting, LLC may contact the individual to provide appointment reminders, information about your treatment alternatives or other health related benefit services that may be of interest to the individual.
- Nevaeh Consulting, LLC is permitted or required to use or disclose protected health information without the individual’s written authorization for the following purposes:
- To maintain a directory of individuals.
- To notify a family member, a personal representative of the individual’s health or safety, or another person identifiable by the individual to the extent disclosure is directly relevant the individual’s care or payment related to the individual’s care.
- Where necessary, to assist a public or private entity authorized by law or by its charter, in disaster relief efforts.
- To assist a public health authority or other appropriate government authority authorized by law if reasonable believe that you or your child are a possible victim of abuse, neglect, or domestic violence or the possible victim of other crimes. We may not disclose your health information to the extent necessary to avert a serious threat to your health and safety or the health or safety of others.
- We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorize federal official’s health required for lawful intelligence, counterintelligence, and other national security activities. We may disclose to correctional institution or law enforcement official having lawful custody of protected health information of inmate or patient under certain circumstances.
- Nevaeh Consulting, LLC will not use your health information for marketing communications without your written consent.
Nevaeh Consulting, LLC may use or disclose your health information to provide you with appointment reminders (such as voice mail message, postcards, or letters).
PATIENT RIGHTS
Access: You have the right to inspect and obtain a copy of your protected health information, with limited exceptions. If you request a copy of your information, we may charge you a fee for the cost of copying, mailing, or other cost incurred by us as a result of complying with your request. Request for access to your protected health information must be made in writing.
Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to these restrictions, but if we do, we will abide by our agreement except in emergency. You must make your request in writing.
Alternative Communication: You have the right to request that we amend your health information. Your request must be in writing, and it must explain why the information should be amended. We may deny your request under certain circumstances.
Right to Express Complaints: You have the right to express complaints to us and to the Secretary of Department of Health and Human Services if you believe that your privacy right have been violated. If you wish to complain to us, you must do so in writing, and direct your complaint to the Privacy Leader.
Questions and Complaints
If you are concerned that we may have violated your privacy rights, or disagree with a decision we made accessing your health information or in response to a request you made to amend or restrict the use or disclosure of your health information or to Nevaeh Consulting, LLC communication with you by alternative means or at alternative locations, you may complain to us using the contact information listed at the end of this notice. You may also submit a written complaint to the U.S. Department of Health and Human Services.
We support your right to privacy of your health information.
For more information about HIPPA or to file a complaint:
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
877-696-6775